C09975348 / invoice 10000
Species:CANINE
Breed:Golden Doodle (Groodle)
Age (years):1
Diagnosis or signs:Vomiting
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <p>Due for spey operation this morning so withheld food overnight<br>Did 2 small bile vomits this morning at home<br>Is bright an dalert<br>Rec proceed today with adjustments to anaestheti cregime<br><br>On admission with owner did a huge vomit in waiting room>><br>No diet changes started at home as yet<br><br><br>Exmaination<br>Pink sl muddy mm<br>Bright<br>HR 120 bpm<br>Regular, no murmur<br>Relaxed abdominal palpation<br>Pulses wnl<br>Temp 38.7<br>Rectum- formed good faeces<br><br>>><br>Postpone todays procedure<br>Send out IDEXX tahp bloods for survey<br>Maropitant 1.8ml IV @ 10:20am<br><br>offer <1/3 cup food in 90 min with a little water<br><br>Discuss progress and bloods results</p> </div></html>
Animal clinical history (3 most recent)
2026-03-02T00:00:00Z 16:54:00
Been flat at home todayHasn't eaten any offered foodawaiting blood test from this morning>>rec representPinker but tack ymmHR 108-132Abdo palp more discomfort than this morningRec survey radiographs abdomen0.17ml medet +0.25ml meth IM @ 4.50pmAbdominal seriesGood serosal detailRock in small intestineSome gaseous distensionDiscuss with AnkitaAdvise FB in bowel, partially obstructive vs obstructiveLikely will need inteventionAlteranative is to hydrate, pain relief, track if passage
2026-03-01T00:00:00Z 14:08:00
Call to check if any v+/d+ prior to spey app tomorrowO reports well since last visit, no concerns
2026-02-26T00:00:00Z 12:31:00
In for R ear treatment however also reports that has done a biley vomit once a day for 3 daysCurrently stools are good. Prokolin has almost finished. Is on goat lyca with rice.Not known to have eaten something else however is scrounger of all things including rocksR ear clean orifice iwth epiotic>>NEPTRAL ear cleanorific eepitotic>> Elcon weeklyRV ears 3 weeksPink moist mmPulse wnlAbdo palp relaxedDiscuss primary GI versus extra GI causesCurrentl brightl, eating well and pooing wellConsider survey bloods to r/o congenital issues, check proteinl evels etcDiscussion re costs and insuranceDiscuss imaging to r/o obstructiove disease/FBAnkita will chat at home, sent estimate, advise is not exhaustive testing but preliminary informationRestingcortisol, stool sample, dietary trials, emperic medicaiton trials and scoping also involved indiagnosis of some diseasesRec slower startinghypoallergnic hydrolysed diet trial in the mean timeTo report back if vomiting/unwell is ongoing
Previous claim history (2)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-01-13 | C09752575 | OTITIS EXTERNA |
| 2025-12-15 | C09627493 | HYPERSENSITIVITY DISORDER (ALLERGY) |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_blood_test | 258.90 | 2026-03-02 | — |
| 20000 | tstarc_anti-nausea_medication | 73.90 | 2026-03-02 | — |
| 30000 | tstarc_consultation-revisit | 95.00 | 2026-03-02 | — |
UPM+
- DG02146VOMITING - OTHER - PRESENTING COMPLAINTDSTP_clinical_signs_-_vomiting
Variant (sleepy_king)
VOMITING - OTHER - PRESENTING COMPLAINT
DSTP_clinical_signs_-_vomiting
Conf: 0.360
Threshold: 0.42
Above: ✗
Correct?